Cody Bruce Pittman, MSN, APRN PMHNP-BC in Louisville, KY

Cody Bruce Pittman, MSN, APRN PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. His current practice location is 13050 Magisterial Dr Ste 100, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 225-3299.

Cody Bruce Pittman is licensed to practice in Kentucky (license number 3015591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205422839.

Contact Information

	Cody Bruce Pittman, MSN, APRN PMHNP-BC
	13050 Magisterial Dr Ste 100, Louisville, KY 40223-5181
	(502) 225-3299
	(502) 600-4373

Map and Direction

Provider's Profile

Full Name	Cody Bruce Pittman
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13050 Magisterial Dr Ste 100, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205422839
Provider Enumeration Date: 12/17/2020
Last Update Date: 01/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2961894738
Enrollment ID: I20220328000669

Medical Identifiers

Medical identifiers for Cody Bruce Pittman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205422839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3015591 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cody Bruce Pittman allows following entities to bill medicare on his behalf.

Entity Name	Healing Neurons Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790442218 PECOS PAC ID: 1052703824 Enrollment ID: O20220328000587

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cody Bruce Pittman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cody Bruce Pittman, MSN, APRN PMHNP-BC 2901 Hickory Hill Ct, La Grange, KY 40031-8666 Ph: (502) 225-3299	Cody Bruce Pittman, MSN, APRN PMHNP-BC 13050 Magisterial Dr Ste 100, Louisville, KY 40223-5181 Ph: (502) 225-3299

Reviews and Comments

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Cody Bruce Pittman, MSN, APRN PMHNP-BC - Medicare Nurse Practitioner in Louisville, KY